title: Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India.
abstract: BACKGROUND
  Interventions which were made to promote a better self-management have produced improvements in the glycaemic control in patients with Diabetes mellitus. An improved glycaemic control is known to prevent the long term complications.
  
  
  METHODS
  This study was conducted at the Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, which is a rural tertiary health care centre. 546 patients were included in our study and they were assessed for the glycaemic control (HbA1c), diabetes distress (DDs), and self care activities.
  
  
  RESULTS
  Of the total 546 patients, 49% had a poor glycaemic control, as was indicated by HbA1c levels of >7%. The factors which are significantly associated with a poor glycaemic control are age (p=0.03 ), sex (p= 0.0415), literacy (p=0.0422), duration of the disease (p=0.0006), diabetic distress (p=0.0001) and self care activities like diet ( p=0.0001), medication (p=0.0001) and exercise (p=0.0001), whereas there was no significant effect of the BM I (p=0.094) on the glycaemic control.
  
  
  CONCLUSIONS
  This study revealed the factors that could predict the glycaemic control in the diabetic patients who attended our tertiary care teaching hospital. The barriers that prevent these patients from meeting their goals must be explored, to improve their health outcomes.
authors.affiliation: Associate Professor, Department of General Medicine.
authors.forename: Sekhar Tvd
authors.initials: ST
authors.lastname: Sasi
authors.forename: Madhavi
authors.initials: M
authors.lastname: Kodali
authors.forename: Kalyan Chakravarthy
authors.initials: KC
authors.lastname: Burra
authors.forename: Baby Shalini
authors.initials: BS
authors.lastname: Muppala
authors.forename: Parvathi
authors.initials: P
authors.lastname: Gutta
authors.forename: Murali Krishna
authors.initials: MK
authors.lastname: Bethanbhatla
keywords: Diabetes; Glycaemic control; HbA1c